Cynthia Ann Laluzerne, APNP
Individual provider Active NPI Family Nurse Practitioner · Algoma, WI
NPI 1063091171 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1063091171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 10522 (WI)
- Practice address
- 815 Jefferson St
Algoma, WI 54201-1733 - Phone
- (920) 487-3496
- Fax
- (920) 487-0275
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Door County Memorial Hospital
Practice addresses (Care Compare)
815 Jefferson St
Algoma, WI 54201-1733
Phone (920) 487-3496
Hospital & facility affiliations
- Ascension at Home
- Door County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210506000867 | WI | Practitioner - Nurse Practitioner | 4789093634 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Door County Memorial Hospital | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Door County Memorial Hospital | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients |
Locations
815 Jefferson St
Algoma, WI 54201
Phone (920) 431-1850
923 Eliza St
Green Bay, WI 54301
Phone (920) 965-4700
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566
Interoperability endpoints
- claluzerne385624@ewd.direct.hshs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10522 | WI | Yes |
Addresses
Primary practice location
815 Jefferson St
Algoma, WI 54201-1733
Mailing address
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566
Other practice location 1
11270 N Port Washington Rd
Mequon, WI 53092-3410
Phone (262) 241-1022
Other practice location 2
923 Eliza St
Green Bay, WI 54301-3234
Phone (920) 965-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F06202416 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
Other names
- Cynthia Ann Farrell
Other providers in Algoma, WI
- Jacqueline Marie Joski
- Morgen Kleiman
- Ellen Knipfer
- Christopher John Konop
- Lakeshore Vision Centers, LTD
- Lighthouse Chiropractic, LLC
- Katie Ann Lukes
- Lynne M Lukes
- Ralph Bradley Nelson
- Oconto Hospital & Medical Center Inc
All providers in Algoma, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.